近足月新生儿出生后呼吸困难的临床研究

The clinical study of near full-term neonatal dyspnea

目的对近足月儿和足月儿出生后呼吸困难的临床表现进行回顾性分析,比较两者的预后。方法有呼吸困难的足月儿40例和近足月儿25例,有先天畸形的患儿除外。比较近足月儿和足月儿呼吸困难和预后情况。结果近足月儿的呼吸困难发生率、病死率及平均吸氧时间明显高于足月儿,两者间差异有统计学意义(P<0.05)。近足月儿中,经剖宫产娩出者呼吸困难的发生率高于经阴道娩出者(P<0.05)。平均住院时间较长,湿肺和NRDS的发病率较高,但两者间差异无统计学意义(P>0.05)。结论近足月儿呼吸困难和早期预后不良发生率高于足月儿,因此临床上应加强对近足月儿的呼吸管理以改善预后。

Objective To retrospectively analyze the clinical manifestations of near full-term infants and term infants＇ dyspnea after the birth, and comparing their prognosis. Methods The＇ objects of study were 40 cases of neonatal full-term infants and 25 cases of near full-term infants with respiratory difficulties, who were admitted to our hospital from January 2007 to December 2008, excluding children with congenital malformations. Compare the occurrence of respiratory diffieuhies and unfavorable prognosis between near full-term infants and fullterm infants. Results The near full-term infants＇incidence rate of dyspnea, mortality, and the average time of oxygen uptake were significantly higher than full-term infants＇ （P 〈0.05）. Among the near full-term infants, ones by cesarean section parturition were higher than ones by transvaginal parturition in dyspnea＇s incidence rate （P 〈0.05）. Compared with term infants the near full-term infants got longer average stay and higher incidence rate of wet lung ＆ NRDS, but there was no significant difference （P〉0.05）. Conclusion In the near full-term infants＇ the incidence of dyspnea and unfavorable prognosis were higher than full-term infants＇. Therefore, the respiratory management of clinical near fullterm infants should be strengthened to improve the prognosis.